Tubal ectopic pregnancy following bilateral salphingectomies

The reported incidence of ectopic pregnancy after bilateral salpingectomies is very low. We present a 31-year-old woman, who had an ectopic pregnancy after bilateral salpingectomies for previous ectopic pregnancies. A high index of suspicion for pregnancy is prudent to avoid missing an ectopic pregnancy despite a history of bilateral salpingectomies. Not all cases of ectopic pregnancies present with the classical triad of abdominal pain, vaginal bleeding and a period of amenorrhoea. A urine pregnancy test is a simple and inexpensive test, which should always be done to rule out pregnancy in a woman of reproductive age presenting with a period of amenorrhoea and abdominal symptoms.